2回目の腹腔鏡下子宮筋腫核出術で発見された腹膜原発endosalpingiosisの1例

抄録

  We report a case of endosalpingiosis found during a second laparoscopic myomectomy. Endosalpingiosis is often seen in lymph nodes that are resected because of gynecologic malignancy and is usually an insignificant incidental finding. It may rarely form a macroscopic mass that arises from the peritoneum. The patient was a 27-year-old woman, gravida 1 para 1, who underwent laparoscopic myomectomy due to hypermenorrhea. Four years after the first operation, the second myomectomy was performed for a recurrent myoma node. During the second operation, a walnut sized tumor on the mesothelium was found. Pathological examination revealed it to be salpingiosis. Surgical implantation of resected tissues is not a rare complication and patients must be properly informed of this possibility prior to surgery.